HomeMy WebLinkAbout12-05-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~~~`(`` `. ~_~, `-'~~,~~I~RITANCE TAX
,~- ~-- gTq;TL~'IENT OF ACCOUNT
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CLERIC OF
4R~N~~?'S COLRT
RICHARD S HOCKL~jPv~~'=~i `t'',? } ~~ PA
206 ACRE DRIVE '
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 11••21-2011
ESTATE OF SENTZ ANNA C
DATE OF DEATH 06-13-2010
FILE NUMBER 21 10-0910
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE. SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALON6_ THIS LINE __~ RETAIN LOWER PORTION FOR YOUR RECORDS _-~
REV X1607 EX AFP C12 1~D) ~~ *** INHERITANCE ~~AX STATEMENT~OF ACCOUNT ~ ***~~~~~~~~~~~~~~~•••• •
ESTATE OF:SENTZ ANNA C FILE N0.:21 10-0910 ACN: 101 DATE: 11-21-2011
TAXSDUEATAPPLICATIONDOF ALLRPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGUREINCIPAL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-26-2011
16,583.86
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDIT):
PAYMENT NUIIg
DATE ER
09-08-2010 CD'1013324
10-27-2011 CD015128
11-18-201.1 SB~IADJUST
DISCOUNT C+)
INTEREST/PEN PAID (-}
736.84
33.17-
.00
AMOUNT PAID
14,000.00
1,880.19
1.36
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
16,583.86
.00
.00
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLIECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE: REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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